Stochastic numerical head phantoms to enable virtual imaging studies of transcranial photoacoustic computed tomography.

Transcranial photoacoustic computed tomography (PACT) is an emerging neuroimaging modality, but skull-induced aberrations can result in severe image artifacts if not compensated for during image reconstruction. The development of advanced image reconstruction methods for transcranial PACT is hindered by the lack of well-characterized, clinically relevant evaluation frameworks. Virtual imaging studies offer a solution, but require realistic numerical phantoms. To address this need, this study introduces a framework for generating ensembles of realistic 3D numerical head phantoms for virtual imaging studies. The framework uses adjunct CT data to create anatomical phantoms, which are then enhanced with stochastically synthesized vasculature and assigned realistic optical and acoustic-elastic properties. The utility of the framework is demonstrated through a case study on the impact of skull modeling errors on transcranial PACT image quality. By allowing researchers to assess and refine reconstruction methods meaningfully, the presented framework is expected to accelerate the development of transcranial PACT.